Gout - Symptom, Causes, Treatment of Gout
Gout is a insaneness of the body's chemical balance in which chronic
uric acid in the blood
to deposits of needle-shaped urate crystals in and
joints and tendons, where they cause soreness (gout is a type of arthritis). Blood uric acid is
from the outage of body cells and protein in the diet.
Causes of Gout
Most gout is
to a disorder of kidney function which
purgation of urates in the urine.
urine production in hot climates can
to gout may be
(1 in 5 sufferers has a close relative
Symptoms of Gout
Acute gouty arthritis
with-out warning. Attacks may be instigation by
iruury, overindulgence in food or alcohol, surgery, fatigue, or physical or emotional stress. The first several attacks
affect a single limb joint -usually in the ball of the foot, but the instep, ankle, knee, knuckles, wrists and elbows are also
sites. The gouty joint
hot, red, swollen and
painful, though symptoms subside within some days.
Later on attacks may
several joints and last longer, and may be
related with fever and malaise. Without
treatment, several attacks may
each year, and the affected joints may become stiff, deformed and
for all time damaged. Patients with gout have an
risk of developing URINARY STONES and damage
to urate crystals forming in the kidneys' filtering units.
Diagnosis of Gout
The characteristics of acute gouty arthritis
the diagnosis that can be sustained by finding high levels of uric acid in the blood as well as urate crystals in
tissues or fluid. Clumps of crystals, known as gouty toph,
a characteristic X-ray picture and, if large, may be seen or felt
the skin beside a joint.
Treament of Gout
Acute gouty arthritis
normally reacts fast
to non-steroidal anti-inflammatory drugs and/or the drug colchicine. A few attacks may need drainage of fluid from the affected joints with a syringe,
by injection of CORTICOSTEROID DRUGS into the
cavity. Rest and abundant fluid intake are
suggested, Analgesics and splinting the affected joint
Later on the acute attack has subsided, the aim of
medical care is to prevent recurrent attacks with regular doses of a drug which lowers blood uric acid by
its urinary excretion and/or blocks its production. Additional measures include high fluid intake(3 litres or more a day); drugs which
the urine alkaline to
the risk of kidney stones (in acid urine, small uric acid crystals may come together to form stones or gravel); diminution of obesity, if
to take the weight off affected joints; and
purines (food constituents which increase blood uric acid) in the diet.
-purine foods include anchovies, prawns, oysters, brains, offal and meat extracts. Existing tophi may be surgically
Outlook of Gout
treatment permits most patients to live a general life, and chronic disabling gout is
a thing of the past.